title: The process of definitive institutionalization of community dwelling demented vs non demented elderly: data obtained from a network of sentinel general practitioners.
abstract: OBJECTIVE
  The aim of the present study was to investigate the differences between characteristics of community dwelling demented and non demented elderly and their caregivers at the moment of definitive institutionalization.
  
  
  METHODS
  The study is a cross-sectional analysis performed on data obtained from a Network of Sentinel General Practitioners.
  
  
  RESULTS
  Older demented patients with several concomitant diseases were mainly placed because of unmanageable behavioral disturbances. Strikingly, these dementia patients were more often confronted with a time delay in definitive institutionalization due to their high care dependence. Although burden in the dementia family caregivers was an important motivation for definitive institutionalization, it did not seem to be a motive in the final institutionalization circumstances.
  
  
  CONCLUSIONS
  Behavioral disturbances are independently of caregiver burden, professional support, or a spousal relationship the main direct reason for institutionalization of community dwelling demented elderly. The way caregivers feel supported might play the key role in the final placement decision.
authors.affiliation: Catholic University Leuven, Academic Centre of General Practice, Leuven, Belgium. birgitte.schoenmakers@med.kuleuven.be
authors.forename: Birgitte
authors.initials: B
authors.lastname: Schoenmakers
authors.forename: Frank
authors.initials: F
authors.lastname: Buntinx
authors.forename: Dirk
authors.initials: D
authors.lastname: Devroey
authors.forename: Viviane
authors.initials: V
authors.lastname: Van Casteren
authors.forename: Jan
authors.initials: J
authors.lastname: DeLepeleire
mesh_terms: D000328:Adult; D000368:Aged; D001526:Behavioral Symptoms; D001530:Belgium; D017028:Caregivers / Q000523:psychology; D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D017281:Cost of Illness; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D004812:Epidemiologic Methods; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data*; D006701:Home Nursing; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D012112:Residential Facilities; D012944:Social Support; D018454:Spouses; D013997:Time Factors